Medicament and a method for regulation of the vascular tone

ABSTRACT

The antibody based medicament contains ultra low doses of monoclonal, polyclonal, immune or natural antibodies to a protein or a peptide involved in the vascular tone regulation or mediating the effects of other regulators; these antibodies are used in activated (potentiated) form produced by multiple subsequent dilution and external impact, preferably in accordance with homeopathic technology. The method of treatment for diseases accompanied by disturbances of the vascular tone utilizes the use of ultra low doses of antibodies to a protein or a peptide involved in the vascular tone regulation or mediating the effects of other regulators; these antibodies are used in activated form produced by multiple subsequent dilution and external impact.

The invention belongs to the field of medicine and can be utilized to normalize the vascular tone and prevent acute and chronic illnesses accompanied by disturbances of the vascular tone, primarily in the arteries.

The prior art includes use of antibodies in the treatment of pathological syndromes (SU 1331508 A, A 61 K 39/00, 1984; SU 1730144 A1, C 12 N 7/00, 1992).

Medications such as sera and immunoglobulins based on antibodies in therapeutic concentrations, have also been described (e.g., see “Register of remedies used in Russia. The encyclopaedia of remedies”, 7^(th) edition, 2000, pp. 358-359 (in Russian)).

None of the mentioned medications, however, are used in the treatment of diseases characterized by disturbances of the vascular tone.

There has been described a method of treating diseases accompanied by disturbances of the vascular tone through administration of substances specifically interacting with endogenous factors involved in the vascular tone regulation (e.g., see “Register of remedies used in Russia. The encyclopaedia of remedies”, 7^(th) edition, Moscow, RLS, 2000, pp. 178, 406 (in Russian)). The most important disadvantage of such medications is their adverse effects.

The invention is aimed at producing an effective and safe medicament for treatment and prevention of diseases accompanied by disturbances of the vascular tone (primarily in the arteries), wherein activated (potentiated) antibodies are used.

This task is solved by the presence in the medicament of ultra low doses of monoclonal, polyclonal, immune or natural antibodies to a protein or a peptide involved in the vascular tone regulation or mediating the effects of other regulators; these antibodies are used in activated (potentiated) form produced by multiple subsequent dilution and external impact, primarily in accordance with homeopathic technology.

The method of treatment for diseases accompanied by disturbances of the vascular tone, primarily in the arteries, presents the use of antibodies to a protein or a peptide involved in the vascular tone regulation or mediating the effects of other regulators; these antibodies are used in activated form produced by multiple subsequent dilution and external impact.

The use of a mixture of different, preferably centesimal, homeopathic dilutions is most beneficial.

Experiments have been carried out to prove that the administered activated (potentiated) antibodies to a protein or a peptide involved in the vascular tone regulation exert a modifying, instead of inhibiting, effect on physiological and pathological processes mediated or regulated by this protein or peptide; the latter is responsible for the therapeutic efficiency of the medication presented.

The medication produced in accordance with the invention presents a new pharmacological preparation characterized by the presence of specific pharmacological activity, the absence of adverse effects as well as drug tolerance and dependence; by ecological purity and a low prime cost.

The drug preparation is produced as follows.

To treat a disease or a pathological syndrome caused or accompanied by disturbances of the vascular tone, clinical experiments are used to discover a protein or peptide regulating the vascular tone, which alterations characterize this disease or accompany its development.

Biochemical methods are used to separate this peptide or protein. Thereafter, the whole protein or its fragment (not less than 3 aminoacids) is utilized as an immunogen in the immunization of laboratory animals and producing immune antibodies, or in a hybridizomatechnology to produce monoclonal antibodies. The antibodies produced are purified by affinity chromatography.

The technique of immune and monoclonal antibody production is described, for example, in: Immunological methods (Ed. by H. Friemel), Moscow, Medicine publishers, 1987, pp. 9-23 (book in Russian).

Multiple subsequent dilutions and external impact, usually mechanical, are exerted on the isolated antibodies until ultra low or low doses are produced, e.g., preferably in accordance with homeopathic technology of potentiation (dynaniization) (see V. Shvabe, Homeopathic Pharmaceutical Agents. A Manual on Description and Preparation, Moscow, 1967, p. 12-38). (in Russian)). To do so, a uniform concentration reduction is employed wherein 1 volume unit of the antibodies is diluted in 9 volume units (for a decimal dilution D) or in 99 volume units (for a centesimal dilution C) of a neutral diluent with multiple vertical shaking of every dilution; for the most part, separate containers are used for every subsequent dilution until the needed concentration (potency) is reached.

External impacts in the concentration reduction process can also include ultrasound, electromagnetic or other physical influences.

The medication thus prepared is utilized preferably in common homeopathic dosage forms and dilutions, in alcohol or aqueous solutions or tablets (granules) prepared by impregnation until saturation of the excipient with a potentiated solution or by direct instillation of the latter into a liquid dosage form. To enhance the therapeutic effect of the preparation, a mixture of different homeopathic dilutions is employed.

EXAMPLES Example 1

An experimental study was performed to evaluate the effect of antibodies to angiotensin II receptor (Anti-R-angiotensin-II-c), activated forms of ultra low doses, on blood pressure in ISIAH strain rats with hereditary arterial hypertension. Blood pressure in the caudal artery was measured after 5 days of peroral administration of potentiated polyclonal rabbit antibodies against the C-terminal fragment of the human angiotensin II receptor, antibodies being employed in a mixture of homeopathic dilutions C12+C30+C200 (0.5 ml of water solution).

The blood pressure figures before and after drug administration are presented in Table 1.

TABLE 1 Effect of Anti-R-angiotensin-II-c on blood pressure in hypertensive ISIAH strain rats. Blood Blood Baseline pressure Increase pressure Decrease blood Blood after in after in pressure pressure Decrease subsequent 7 blood second blood (average after in blood days pressure 5-day pressure of 3 5 days of pressure without (6) − treatment (6) − # Rat # measurements) treatment (3) − (4) medication (4) course (8) 1 2 3 4 5 6 7 8 9 1 31 175 151 24 166 15 150 16 2 32 184 163 21 186 23 170 16 3 33 186 169 17 165 −4 150 15 4 4 171 165 6 189 24 170 19 5 34 187 172 15 190 18 175 15 6 10 181 166 15 185 19 170 15 7 11 171 162 9 169 7 155 14 8 38 182 160 22 185 25 165 20 9 16 180 169 11 183 14 165 18 10 19 186 166 20 186 20 170 16 X ± m 180 ± 1.91 164 ± 1.86 16 ± 1.88 180 ± 3.08 16.1 ± 2.81 164 ± 2.87 16.4 ± 0.62

The data in the table show that the medication exerts a hypotensive effect.

Example 2

An experimental study was performed to evaluate the effect of antibodies to angiotensin II (activated forms of ultra low doses) on blood pressure in ISIAH strain rats with hereditary arterial hypertension. Blood pressure in the caudal artery was measured after 5 days of peroral administration of potentiated monoclonal antibodies to angiotensin II employed in a mixture of homeopathic dilutions C12+C30+C200 (0.5 ml of water solution).

The blood pressure figures before and after drug administration are given in Table 2.

TABLE 2 Blood Change in pressure Change in blood blood pressure Baseline Blood pressure after pressure after a after 5 days of blood 3 hours after a 5 days of single shot ((3) − treatment ((4) − Rat # pressure single shot treatment (2) difference) (2) difference) 1 2 3 4 5 6 11 200 167 161 −33 −39 12 189 150 189 −39 0.0 16 200 189 160 −11 −40 19 167 178 144 11 −23 21 211 189 167 −22 −44 22 178 167 205 −11 27 23 189 167 205 −22 16 27 178 194 200 16 22 28 178 172 144 −6 −34 30 189 178 178 −11 −11 Mean ± 187.9 ± 4.16 175.1 ± 4.21 175.3 ± 7.48 −12.8* ± 5.49 −12.6 ± 8.65 SEM *(p < 0.05)

The data in this table present a pronounced hypotensive effect of the medication.

Example 3

An experimental study was performed to evaluate the effect of antibodies to angiotensin I (activated forms of ultra low doses) on blood pressure in ISIAH strain rats with hereditary arterial hypertension. Blood pressure in the caudal artery was measured after 5 days of peroral administration of potentiated polyclonal mouse antibodies to angiotensin I employed in a mixture of homeopathic dilutions D6+C12+C200 (0.5 ml of water solution).

The blood pressure figures before and after drug administration are presented in Table 3.

TABLE 3 Change in blood Blood Change in pressure after Blood pressure blood pressure 5 days of Baseline pressure 3 after after a single treatment blood hours after a 5 days of dose ((3) − (2) ((4) − (2) Parameter pressure single dose treatment difference) difference) Mean ± 189.0 ± 4.1 178.1 ± 5.3 175.8 ± 8.2 −10.9* ± 5.9 −13.2 ± 8.5 SEM *(p < 0.05)

The data in the table show that the medication exerts a hypotensive effect.

Example 4

Patient D., 50 years old, presented with a 10-year history of essential hypertension. On clinical and instrumental examination, he was diagnosed with “essential hypertension with primary heart involvement, 2^(nd) degree, myocardial hypertrophy of the left ventricle”. He was administered polyclonal rabbit antibodies against the C-terminal fragment of the angiotensin II receptor (a mixture of homeopathic dilutions C12+C30+C200), 1 tablet BID. The blood pressure stabilized at 130-135/85 mm Hg within 7 days of the start of treatment. After 2 months of treatment, electrocardiography revealed a decrease in the myocardial hypertrophy and overload of the left ventricle.

Example 5

Patient Z., 50 years old, had a 10-year history of essential hypertension with primary kidney involvement. Prior to the start of antihypertensive treatment, her blood pressure was as high as 180/110 mm Hg. On clinical interview, she complained of headaches, edema, and fatigue. After the conventional antihypertensive measures had proved to be ineffective, she was administered monoclonal antibodies against the angiotensin II receptor (a mixture of homeopathic dilutions C12+C30+C200) and monoclonal antibodies against angiotensin II (a mixture of homeopathic dilutions D12+C30+LM2), 1 tablet BID. After 7 days of treatment, the patient reported an increase in energy levels, subsidence of the edema, and a stable blood pressure decrease to 140/95 mm Hg. After 2 months of treatment, blood pressure levels stabilized at 130/90 mm Hg, proteinuria went down from 0.3 g/l to 0.06 g/1.

Example 6

Patient V., 42 years old, had suffered from moderate Cushing's disease for 5 years. To treat her pronounced hypertension (up to 175/100 mm Hg), she was administered a compound preparation containing the following: polyclonal rabbit antibodies against the angiotensin II receptor (a mixture of homeopathic dilutions C12+C30+C200) and monoclonal antibodies against adrenocorticotropin (a mixture of homeopathic dilutions C12+C30±C200), 1 tablet TID. After 2 weeks of treatment, her blood pressure fell to 140/90 mm Hg, she was generally feeling better. After 1 month of treatment, serum ACTH levels decreased from 200 to 130 pg/ml, the body mass index went down from 37 to 35 kg/m². The patient was advised to go on with the treatment.

Example 7

Patient N., 52 years, diagnosed with “coronary artery disease, angina of effort, functional class 3; peripheral atherosclerotic disease of the lower extremities”. This patient was administered activated polyclonal rabbit antibodies against the C-terminal fragment of human endothelial NO synthase (type III nitrogen oxide synthase) as a monotherapy, in a mixture of homeopathic dilutions C12+C30+C200, 1 tablet 3 TID, After 7 days of treatment, the patient noticed an improvement in exercise tolerance and general health. Pain in the lower extremities on fast walking appeared within 30 to 40 minutes (instead of 10 to 15 minutes prior to treatment). After 3 weeks of treatment, ECO showed an improvement in left ventricular myocardial ischemia and class 2 angina of effort.

Example 8

Patient O., 67 years old, suffered from hypertension and decompensated type II diabetes mellitus. She had been having heart failure symptoms (cardiac asthma, congestive rales in the lungs) for 2 years and peripheral edema in the lower extremities for 2 months. In view of inefficiency of conventional treatment, she was administered a compound including activated monoclonal antibodies against tumor necrosis factor alpha (TNF-α) (a mixture of homeopathic dilutions C12+C30+C200) and activated antibodies against the TNF-α receptor (a mixture of homeopathic dilutions D12+LM10), 1 tablet BID. After 10 days of treatment, the heart failure improved, the peripheral edema was gone, there were no signs of pulmonary congestion, the patient was feeling better. The insulin dosage enough to control glycemia fell from 40 to 20 IU per day.

Example 9

Patient D., 62 years old, suffered from circulatory encephalopathy clue to atherosclerosis with predominant involvement of the cerebral arteries. He had a history of multiple transient ischemic attacks (TIAs) and presented with an on-going attack accompanied by right-side hemiparesis and aphasia. The patient was given polyclonal antibodies against endothelial nitrogen oxide synthase (a mixture of homeopathic dilutions C12+C30+C200), 1 tablet dissolvable in the mouth every 30 minutes. After 4 hours of treatment, TIA symptoms (vertigo, tinnitus, weakness in the right arm, aphasia) showed signs of subsidence. Within 12 hours of the start of treatment, the attack was completely overcome.

Example 10

Patient M., 32 years old, had Raynaud's phenomenon secondary to a connective tissue disorder. Because of the worsening condition, she was administered monoclonal antibodies against endothelial nitrogen oxide synthase (a mixture of homeopathic dilutions C12+C30+C200), 1 tablet TID. After 7 days of treatment, the patient noticed that attacks precipitated by exposure of the extremities to cold had become less frequent, less painful and shorter. The patient was advised to continue the treatment.

Example 11

Patient V., 19 years old. She was evaluated for headaches and vertigo and diagnosed with hypotensive neurocirculatory asthenia (blood pressure 80/60 mm Hg). The patient was administered monoclonal antibodies against angiotensin I (a mixture of homeopathic dilutions C12+C30+C200) combined with activated angiotensin 1 (a mixture of homeopathic dilutions C12+C30+C200), 1 tablet TID. After 2 weeks of treatment, blood pressure stabilized at 100/80 mm Hg, the headaches had subsided and become less frequent.

Example 12

Patient O., 42 years old. On examination at the Labour Medicine Research Institute, he was diagnosed with vibration disease, 2^(nd) stage localized variant. Due to the angiospastic syndrome accompanied by vegetosensory polyneuropathy and skin atrophy, which was resistant to conventional treatment, the patient was administered polyclonal rabbit antibodies against endothelin-1 (a mixture of homeopathic dilutions C12+C30+C200) combined with monoclonal antibodies against bradykinin (a mixture of homeopathic dilutions D6+C30+LM2), 1 tablet TID. After 10 clays of treatment, the angiospastic syndrome improved, which was also shown on capillaroscopy. After 2 months of treatment, the polyneuropathy and skin atrophy significantly subsided. The patient was advised to continue the treatment. 

1. A medicament for the treatment of diseases accompanied by disturbances of the vascular tone, characterized by the presence of ultra low doses of monoclonal, polyclonal, immune or natural antibodies to a protein or a peptide involved in the vascular tone regulation or mediating the effects of other regulators; wherein antibodies are used in activated (potentiated) form produced by multiple subsequent dilution and external impact, preferably in accordance with homeopathic technology.
 2. A method of treatment for diseases accompanied by disturbances of the vascular tone utilizing the use of ultra low doses of antibodies to a protein or a peptide involved in the vascular tone regulation or mediating the effects of other regulators; wherein antibodies are used in activated form produced by multiple subsequent dilution and external impact.
 3. A method of treatment according to claim 2 wherein a mixture of different homeopathic dilutions is used. 